慢性乙型肝炎患者不良生活方式与影响因素的调查分析

摘要

Objective To investigate the unhealthy lifestyle and its influencing factors of patients with chronic hepatitis B,and to provide scientific evidence for health education.Methods Self-compiled questionnaire (including general situation questionnaire,disease related knowledge questionnaire,lifestyle questionnaire and the generally accepted Medical Coping Modes Questionnaire) were used to survey 479 patients with chronic hepatitis B in six hospitals of grade two and above in Shandong Province.The influence factors of unhealthy lifestyle were analyzed by Logistic regression.Results Total of 60.1％ patients with CHB had more unhealthy life style.Logistic regression showed that disease related knowledge,medical coping style,gender,disease staging,years of anti-HBV treatment and economic pressure were the influence factors of unhealthy lifestyle of patients with CHB.Conclusions More than half of CHB patients have more unhealthy lifestyle,and the knowledge-belief-behavior health education model should be used to promote the health of patients with CHB.%目的 探讨慢性乙型肝炎(CHB)患者不良生活方式与影响因素,为有针对性地进行健康教育提供科学依据.方法 采用自编问卷(包括患者一般情况、疾病相关知识、生活方式与公认的医学应对方式量表)对山东省6所二级以上医院的479例CHB患者进行调查,并对患者不良生活方式的影响因素进行Logistic分析.结果 60.1％的CHB患者存在较多的不良生活方式.Logistic回归分析显示,疾病相关知识、医学应对方式、性别、病情分期、抗病毒治疗的年限与经济压力影响患者的不良生活方式.结论 半数以上的CHB患者存在较多的不良生活方式,应针对影响因素运用知-信-行模式进行健康教育,达到促进患者健康的目的.